Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Preferred Pain Center of Grundy County

Organization Pain Medicine Physician · NPI 1508101734

Preferred Pain Center of Grundy County is a Pain Medicine Physician in Gruetli Laager, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
Specialties on file
3

Practice location Address checks out

32717 Sr 108
Gruetli Laager, TN 37339
Phone: (931) 779-2225
Fax: (931) 779-2226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)
Pain Medicine Physician Taxonomy 208VP0000X (TN)
Family Nurse Practitioner Taxonomy 363LF0000X (TN)

Record details

NPI number1508101734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Marks — Billing Manager · (931) 779-2225
NPI enumeratedNovember 28, 2012
Last updated in NPPESSeptember 27, 2013
Mailing addressPo Box 258, Gruetli Laager, TN 37339-0258